Gehrke, Glenn Allen
Gehrke, Glenn Allen is an individual health care provider with primary practice located at 8001 Centerview Pkwy Ste 215 , Cordova TN 38018-4276. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gehrke, Glenn Allen can be contacted via phone (901) 249-5905.Contact Information
Primary practice address
8001 Centerview Pkwy Ste 215
Cordova TN 38018-4276
Phone: (901) 249-5905
Fax: (901) 249-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301080570 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 4301080570 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 24839 | Mississippi |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 53805 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 4301080570 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 24839 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 53805 | Tennessee |
Profile Details
| NPI number | 1073696977 |
|---|---|
| LBN Legal business name | Gehrke, Glenn Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Apr 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073696977 | NPPES |
| Tennessee | Other | 6066289 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | Q022062 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 07274365 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | P01704491 | BLUE CROSS BLUE SHIELD |
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